Concern and confusion over competence

Clinical competence assessment in nursing: a systematic review of the literature

“…The confusion between competence and competency is evident in nursing (Ashworth & Morrison 1991, Alspach 1992, as is the confusion between competence and performance (While 1994). Bradshaw (1997Bradshaw ( , 1998 gave the issue Integrative literature reviews and meta-analyses Clinical competence assessment in nursing Nicol et al (1996) Integrative literature reviews and meta-analyses Clinical competence assessment in nursing of competency in nursing thorough consideration, pointing to its lack of definition by the statutory nursing bodies in the UK, and concluded that the lack of definition and ÔhaphazardÕ approach to training constituted a threat to the safety of patients.…”

Standardizing Assessment of Competences and Competencies of Oncology Nurses Working in Ambulatory Care

“…However, the literature suggests that these terms should be used to signify two distinct attributes of individuals (Alspach, 1992; McMullan et al, 2003; Schroeter, 2009; Scott Tilley, 2008). Competence refers to the attribute of having in one’s possession the knowledge, skills, and abilities necessary to perform a task, duty, or job (Alspach, 1992; Roe, 2002). In other words, competence implies that what the individual needs to effectively complete a job or task is present and sufficient to actually perform the job or task competently.…”

Perinatal nursing education for single‐room maternity care: an evaluation of a competency‐based model

“…The education model chosen for the education programme was competency-based. A competency-based education programme is learner focused (Alspach 1992) and is based on the attainment of established competencies. Competency has the following components: (i) assessment of previous knowledge and skills; (ii) assessment of learning styles; (iii) emphasis on outcome; (iv) use of self-directed learning activities; (v) flexibility in time allowed for achievement of outcome; and (vi) use of teacher as facilitator (Gurvis & Grey 1995).…”

“…Competency is defined as the ability to perform the required skills in the designated environment in accordance with the role and standards of the institution (Alspach 1992). It is distinguished from competence which is merely the possession of knowledge, skills and abilities required to perform the job (Alspach 1992). A key responsibility of nurse administrators is to ensure competency among nursing staff (Cronin & Becherer 1999).…”